FREE Pediatric CCRN Critical Care Questions and Answers

Question 1

A 2-year-old was brought in for a routine checkup at the pediatric clinic. The nurse would anticipate watching to evaluate the child's interactions with other kids.

Accepted Answer

Parallel play

Answer

At 2 years old, children are typically in the stage of parallel play. This means they play alongside other children, often with similar toys, but do not directly interact, share, or engage in cooperative activities. They are observing and learning from each other's presence without direct engagement, which is a normal developmental milestone for this age.

Question 2

A young child may have pinworms because of how he described his initial sensations:

Accepted Answer

Anal itching

Answer

Pinworm infections (enterobiasis) are classically characterized by intense anal itching, especially at night. This occurs because the female pinworms migrate from the rectum to the perianal region to lay their eggs, causing significant irritation and pruritus. The itching can be severe enough to disrupt sleep and is the most common symptom described by affected children.

Question 3

A school-aged youngster receives complete parental nutrition (TPN) from nurse Tammy through a peripheral I.V. line. What is the least quantity of glucose deemed safe, won't burn tiny veins, and yet delivers enough TPN?

Accepted Answer

10%

Answer

For peripheral intravenous (IV) administration of total parenteral nutrition (TPN) in children, the glucose concentration is typically limited to 10%. Higher concentrations are hyperosmolar and can cause phlebitis, irritation, and sclerosis of the small, fragile peripheral veins. If higher glucose concentrations are required to meet nutritional needs, central venous access is necessary to prevent vascular damage.

Question 4

The parents of a 3-year-old hospitalized with hemophilia receive advice from the nurse on caring for their kid at home. Which of the following parent-made statements suggests the need for more instructions?

Accepted Answer

“We will avoid having the child receive immunizations and cancel the scheduled dental appointments.”

Answer

Avoiding immunizations and canceling dental appointments for a child with hemophilia is incorrect and indicates a need for further instruction. Children with hemophilia still require immunizations, which should be administered subcutaneously with a small-gauge needle and pressure applied to minimize bleeding risk. Regular dental care is crucial to prevent gum disease and tooth decay, which could lead to more invasive procedures and potential bleeding complications.

Question 5

The nurse intends to administer oral antibiotics to a 3-year-old child. Which of the following is the nurse's best course of action?

Accepted Answer

"Would you like to take your medicine from a spoon or a cup?"

Answer

For a 3-year-old, who is in Erikson's stage of initiative vs. guilt, offering limited choices provides a sense of control and autonomy. Asking 'Would you like to take your medicine from a spoon or a cup?' empowers the child, making them more cooperative and less resistant to taking medication. This approach respects their developing independence without giving them the option to refuse the medication entirely.

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Practice Test

FREE Pediatric CCRN Critical Care Questions and Answers